Submit a Claim - Claim Instructions

If you are an individual who was notified that your Personal Information was potentially compromised as a result of a data security incident that was reported on November 4, 2022 (the “Data Security Incident”), by Salud Family Health, Inc. (“Salud”), you are a Class Member.

Claim Forms must be submitted online or postmarked (if mailed) no later than December 12, 2023. Claims submitted after the deadline will be deemed untimely and may not be accepted.

As a Class Member, you are eligible to make a claim for one or more of the following options:

  1. Cash payments of up to $7,500.00 per Class Member for reimbursement of certain Documented Losses (“Documented Loss Payment”);

    AND/OR
  2. Two years of Credit Monitoring and Insurance Services;

    AND/OR
  3. Reimbursement for up to four (4) hours of time spent in connection with the Data Security Incident, compensable at a rate of $20 per hour (“Compensable Lost Time Payment”).

The Credit Monitoring and Insurance Services will include the following services, among others: (i) up to $1,000,000 of identity theft insurance coverage; and (ii) two years of three-bureau credit monitoring. If you already enrolled in the free credit monitoring and identify fraud protection services made available by Salud following the Data Security Incident, or from another provider obtained as a result of the Data Security Incident, you will have the option to postpone the commencement of the Credit Monitoring and Insurance Services by up to 24 months for no additional charge.

Documented Loss Payments and Compensable Lost Time Payments are subject to an aggregate cap of $1,000,000 and may be reduced or increased pro rata (equal share) depending on how many Class Members submit claims.

For more information about the Settlement benefits available, please review the Notice, the Frequently Asked Questions, and the Settlement Agreement before completing your Claim Form.


Documentation:

If you plan to make a claim for reimbursement of Documented Losses, documentation must be provided to support your claim. Documents should be clear, readable copies, as anything you submit will not be returned to you. You may redact unrelated transactions and all but the first four and last four digits of any account number (if applicable). See the table below for examples of sufficient documentation for expense types.

Expense Type Examples of Documentation Required
Unreimbursed fees or other charges from your bank or credit card company. Bank or credit card statement
Unreimbursed fees relating to your account being frozen or unavailable. Receipt, or bank or credit card statement
Unreimbursed fees or other charges relating to the reissuance of your credit or debit card. Receipt, or bank or credit card statement
Unreimbursed incidental telephone, internet, or postage expenses directly related to the Incident. Bill from your telephone/mobile phone company, bill from your internet service provider, or receipt of paid postage.
Credit reports or credit monitoring charges. Either a receipt showing a one-year subscription to a credit monitoring service, or at least three receipts showing consecutive monthly payments to a credit monitoring service and an attestation that you intend to continue subscribing to such service through at least one year after the Claims Deadline.
Unreimbursed fraudulent charges Bank or credit card statement showing the fraudulent charge and communications with your bank or a police report reflecting the fact that the charge was fraudulent.
Other expenses Copies of any receipts, statements, police reports, or written statement of attestation.

If you are filing online, please have this information ready before you start to file, as your claim will not be saved if you have to come back and finish at a later time. Documents that are uploaded must be less than 20 MB per file and in one of these formats: jpg, jpeg, png, gif, tif, tiff, doc, docx, xls, xlsx, pdf, txt, rtf, or zip. If you are unable to electronically upload a copy of your documents as part of the online Claim Form, you will need to mail a printed Claim Form along with your documentation to the Claims Administrator.

Please Note: The Claims Administrator may contact you to request additional documents to process your claim.


File Online:

After clicking the button below, you will be asked to provide the Unique ID you received with your Postcard Notice from the Claims Administrator. If you did not receive a Postcard Notice or have lost yours, please contact the Claims Administrator at 1-888-608-5913 (Toll-Free) for assistance. As part of the Claim Form, you will be asked to provide your contact information, detailed information about the losses you incurred, and any documentation you wish to provide. Please have all your documentation as described above ready, as your claim will not be saved if you have to come back and finish at a later time.

Please click the button below to get started.


After submitting your completed claim online, you will receive an email with a Confirmation Code for your completed submission. Receipt of a Confirmation Code means your claim was successfully submitted. Be sure to keep your confirmation email and code and refer back to them if you have any questions about your Claim Form. If additional information is required to complete your Claim, you will be contacted by the Claims Administrator.


File by Mail:

If you wish to submit a Claim Form via standard mail, you may download a copy of the Claim Form here. You will need to provide all the information requested on the Claim Form, attach any supporting documentation, sign it, and date it. Then, mail it to the following address:

Alexander v. Salud Family Health Claims Administrator
P.O. Box 2287
Portland, OR 97208-2287

Remember: All Claim Forms must be submitted online or postmarked no later than December 12, 2023.